Scheduling & Case Discussions

Ross Hauser, MD | Danielle Steilen-Matias, PA-C

You can reach out to us through the form below if you are inquiring about possibly becoming a patient or if you are a current patient who wants to schedule your next appointment or send us a note on your progress. If you are not a patient nor interested in coming to our center, please understand that we cannot provide online medical recommendations or doctor referrals for Prolotherapy, DMX, or other services. The diagnostics and treatment protocols that we have developed are unique to our center, especially as it pertains to the care of complex full-body and severe neck cases. Please see our FAQ page for more information.

1. Contact Information:
First Name: *
Last Name: *
E-mail: *
Phone: *
Address:
City:
State/Providence:
Zip:
Country:

2. Tell us a bit about your case:
Current diagnoses or primary medical concern: *

What are the primary functional goals you are trying to achieve? For example, resume marathon training, return to college, walk my children to/from school, be able to perform my manual labor job full-time, etc… Functional goals would not be “to feel NORMAL” or “to feel BETTER” as these feelings differ greatly for each person who is suffering from a chronic condition. You could also list some objective ways by which you are measuring the success of the treatments you have already received or are looking to receive.

Have you been recommended surgery by another health care provider?
Yes, and I want to avoid it if possibleNot yet, and I want to avoid the need for one in the future

3. How can we best serve you?
Schedule an appointment at Caring Medical Florida:*
as soon as possiblewithin a couple weekswithin 1-2 monthsI am not looking to schedule an appointment at Caring Medical Florida
Preferred contact method so we can talk with you more about your case:
Please call meI’d prefer email
How were you referred to our office?

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Scheduling & Case Discussions

1. Contact Information:

2. Tell us a bit about your case:

3. How can we best serve you?